MS. DONNA M. COTTON FNP
NPI 1396708459
Nurse Practitioner - Family in Bangor, ME

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
98.44/100
CMS Quality Rating
489 STATE ST, KAGAN 2, SURGICAL NAVIGATION, BANGOR, ME 04401(207) 973-5456(207) 973-4371 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2020, Jan 27, 2020, Oct 17, 2018 (3 updates tracked since 2018).

About Ms. Donna M. Cotton Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DONNA M. COTTON FNP (NPI 1396708459) is an individual family provider in Bangor, Maine, licensed in Maine (CNP81505) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396708459
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DONNA M. COTTONCredential: FNP
Location Address489 STATE ST, KAGAN 2, SURGICAL NAVIGATIONBangor, ME 04401
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5000 · Fax (207) 973-5042
Fax(207) 973-4371
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 10, 2006
Last NPPES UpdateJanuary 8, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2024
NPI 1396708459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ME · CNP81505
489 STATE ST, Bangor, ME 04401

Secondary Practice Locations 2

Location 1900 BroadwayBangor, ME 04401-1900 · Phone (207) 907-3777 · Fax (207) 907-3778
Location 26 Telcom DrBangor, ME 04401-3072 · Phone (207) 947-0147 · Fax (207) 990-3365

Other Identifiers 1

Medicaid432059799ME

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Donna M. Cotton Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941221774
PECOS Enrollment IDI20051208000455
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.88
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
489 STATE ST
BANGOR, ME 04401
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Physician Assistant (Surgical)
489 STATE ST
BANGOR, ME 04401
Family Medicine
489 STATE ST
BANGOR, ME 04401
Nurse Practitioner
489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401
Hospitalist
489 STATE ST
BANGOR, ME 04401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donna Cotton's NPI number?

The NPI number for Donna Cotton is 1396708459. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Donna Cotton located?

Donna Cotton practices at 489 State St Kagan 2, Surgical Navigation, Bangor, ME 04401. The listed phone number is (207) 973-5456.

What is Donna Cotton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Donna Cotton enrolled in Medicare?

Yes. Donna Cotton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Donna Cotton affiliated with any hospitals?

According to CMS data, Donna Cotton is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Donna Cotton was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.